Predictors of Sustained Return of Spontaneous Circulation in Children Who Suffer Non-Traumatic out-of-Hospital Cardiac Arrest in Central and Southern Taiwan

CSMUIR > Medical College > School of Medicine > Journal paper > Item 310902500/4476

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/4476

Title:	Predictors of Sustained Return of Spontaneous Circulation in Children Who Suffer Non-Traumatic out-of-Hospital Cardiac Arrest in Central and Southern Taiwan
Authors:	Li, Chao-Jui Lee, Wen-Huei Liu, Ber-Ming Chou, Chu-Chung Chang, Chin-Fu Liu, Tzu-An Lin, Yan-Ren
Contributors:	中山醫學大學
Date:	2008
Issue Date:	2012-08-16T08:21:23Z (UTC)
Abstract:	Background: Cardiopulmonary resuscitation (CPR) in children with out-of-hospital cardiac arrest (OHCA) poses difficult challenges. Predictors for an increased chance of survival in adult have been defined but not well addressed in children, especially these data were lacking in Taiwan. The aim of this study was to present the demographics and determine the predictors of sustained return of spontaneous circulation (ROSC) in children with non-traumatic OHCA in Taiwan. Methods: This retrospective study comprised 95 children <18 years who were admitted to the emergency department (ED) with OHCA in two medical centers of central and southern Taiwan. Children were divided into six age groups. Demographics including pre-hospital and in-hospital information were addressed. Variables comprising sustained ROSC and non-ROSC children were compared to determine the predictors of outcomes. Time-related survival analysis included the chance of achieving sustained ROSC was analyzed according to the different in-hospital CPR durations. Results: The most common etiology was asphyxia and the majority of age group was infant group. Predictors of sustained ROSC were the period from scene to hospital (P=0.004), performing pre-hospital basic life support (P<0.001), the place of cardiac arrest (P<0.001), the mode of transportation (P=0.034), the use of automated external defibrillator (P<0.001), initial cardiac rhythm (P=0.007) and in-hospital CPR duration (P=0.001). Most children (71%) achieved sustained ROSC in the ED within 20 min of inhospital CPR duration. We found that as the in-hospital CPR duration progressed, the chance of sustained ROSC decreased (P<0.001). Conclusions: Several predictors of achieving sustained ROSC in the ED were determined from pre-hospital and in-hospital information, respectively. Furthermore, the chance of sustained ROSC decreased when in-hospital CPR duration progressed. Most importantly, we suggest in-hospital CPR duration of non-traumatic OHCA children should not shorter than 20 min.
URI:	https://ir.csmu.edu.tw:8080/ir/handle/310902500/4476
Relation:	Journal of Emergency Medicine, Taiwan 10卷4期(2008/12/01)107 -114
Appears in Collections:	[School of Medicine] Journal paper

Files in This Item:

File	Description	Size	Format
index.html	期刊論文	0Kb	HTML	492	View/Open

View Licence

Loading...